Speaking to Self magazine for the first time about her second transplant, Hyland said: “I was very depressed. When a family member gives you a second chance at life, and it fails, it almost feels like it’s your fault. It’s not. But it does.”

She added that in the lowest days of late 2017 before the second transplant she “was contemplating suicide, because I didn’t want to fail my little brother like I failed my dad… I had gone through [my whole life] of always being a burden, of always having to be looked after, having to be cared for.”

For Hyland, talking about how she struggled with the emotional toll of her physical illness is all part of the healing process. “It’s not shameful,” she said. “For anybody that wants to reach out to somebody but doesn’t really know how because they’re too proud of they think that they’ll be looked upon as weak, it’s not a shameful thing to say. It’s not a shameful thing to share.”

Sarah Hyland on what having two kidney transplants taught her about strength